Heart failure after myocardial infarction: incidence and predictors
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Updated: Nov 25, 2025

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs
Published on: April 17, 2021
Dominik Jenča1,2, Vojtěch Melenovský1, Josef Stehlik3
1Department of Cardiology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Insights
Heart failure is a common complication after myocardial infarction. Identifying patients at risk early using multiple methods and starting treatment promptly can reduce the heart failure burden.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Heart failure (HF) frequently complicates myocardial infarction (MI).
- Understanding epidemiology and risk factors for post-MI HF is crucial for patient outcomes.
Purpose of the Study:
- To present an updated overview of the epidemiology and risk factors associated with heart failure development following myocardial infarction.
- To identify predictive biomarkers for post-MI heart failure.
Main Methods:
- Comprehensive literature review.
- Identification of clinical, biochemical, genetic, and imaging risk factors and biomarkers.
Main Results:
- Several clinical risk factors were identified.
- Biochemical, genetic, and imaging biomarkers can predict HF development post-MI.
Conclusions:
- Heart failure remains a frequent complication after myocardial infarction.
- A multimodality approach to identify at-risk individuals is essential.
- Early initiation of guideline-directed therapy can mitigate the HF burden.
Aims:
The aim of the present paper was to provide an up-to-date view on epidemiology and risk factors of heart failure (HF) development after myocardial infarction.
Methods And Results:
Based on literature review, several clinical risk factors and biochemical, genetic, and imaging biomarkers were identified to predict the risk of HF development after myocardial infarction.
Conclusions:
Heart failure is still a frequent complication of myocardial infarction. Timely identification of subjects at risk for HF development using a multimodality approach, and early initiation of guideline-directed HF therapy in these patients, can decrease the HF burden.
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